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micia

USA
2 Posts

Posted - 04/15/2005 :  13:38:05  Show Profile  Reply with Quote
quote:
Originally posted by Carolyn

Thanks everyone for your input. I went to visit the colorectal surgeon today and she also advised against surgery- so what's that old adage about don't aska surgeon if yo uneed surgery? I told her I thought my problem had a psychological base and she was receptive to that idea. She thinks my problem is levator ani spasm and surgery probably wouldn't help that though it could reduce the general pressure and help a little. I found that I have been able to get it under control this time (at least for now) by constant appication of heat and I am hoping that knowing that I will not need surgery will help to relieve some of the fear I feel about this issue. She also prescribed me ativan which she said has been helpful for levator ani syndrome. Also fiber -but I am really not constipated.
Suzanne- I'd be curios to hear your friends experience in case the prospect of surgery comes up again.


Carolyn

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micia

USA
2 Posts

Posted - 04/15/2005 :  13:55:30  Show Profile  Reply with Quote
quote:
Originally posted by Carolyn

She thinks my problem is levator ani spasm and surgery probably wouldn't help that though it could reduce the general pressure and help a little. She also prescribed me ativan which she said has been helpful for levator ani syndrome. Also fiber -but I am really not constipated.
Carolyn


Carolyn,
I have been suffering from the same condition for almost 2 years now. My pain is trictly anorectal. I, too, have seen 2 colorectal surgeons, one gastro , one internist, several physical therapists specializing in pelvic floor/levator ani syndrome and currently an osteopath who has done acupuncture (7 sessions), injections in my coccyx area, in my levator ani muscle (vaginal access because he couldn't get to it from the rectal access), manipulation of the spine and all the muscles. I have been taking muscle relaxant like Flexeril, Hyosciamine and one antidepressant, Tradozone which supposedly is prescribed for chronic pain. My last injection (lidocaine + a steroid) in the levator ani was 4 days ago and my pain is worse now as the muscle must be irritated. None of the above seem to work and the only pill that does is ATIVAN and of course also Valium but the latter is too sedative for me and I have to drive to work and stay awake too. The antidepressant Tradozone works a little but it is quite constipating and my problem is just that. Although I am not constipated, just passing the stools every morning (even soft) starts the spasming of the levator muscle; not right away but within 30-45 minutes later. No problem lying down and sleeping at night and when I wake up in the morning I am fine too but the spams start after I have a BM and will last all day, worse when I sit at work or stand up, better when I walk. Heat is a great relief. I sit on a heating pad (even in the summer) and sleep with a heating pad rolled up like a hot dog and placed between the "crack" (a doctor suggested that). I am desperatly waiting for someone who has come up with a complete relief or solution to this problem!!
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